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The Orthopaedic Forum   |    
Topics in Medical Economics II: Specialization
Joseph Bernstein, MD, MS
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Joseph Bernstein, MD, MS
Leonard Davis Institute of Health Economics, Department of Orthopedic Surgery, University of Pennsylvania, 424 Stemmler Hall, Philadelphia, PA 19104-6081. E-mail address: orthodoc@post.harvard.edu

The author did not receive grants or outside funding in support of the research or preparation of this manuscript. He did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the author is affiliated or associated.

J Bone Joint Surg Am, 2002 Oct 01;84(10):1882-1885
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Extract

Specialization within medicine, a trend that is nearly a century old, is still a hotly contested subject. Within orthopaedics, for instance, we are debating the merits of a new Board of Spine Surgery and new Certificates of Added Qualifications. The concern about specialization extends to academic medicine as well, where the so-called "triple threat"-the physician who excels at clinical care, teaching, and research-is threatened with extinction by those who concentrate in only one of these three areas. Traditionalists may decry this trend toward increasing specialization, but the better response is one of wonder. We must ask: Who is killing the generalist-and why?
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